Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mansour Jammal, MD

Individual provider Emergency Medicine Physician · NPI 1952622540

Mansour Jammal, MD is an Emergency Medicine in Staten Island, New York. Graduated from University of California, Geffen School of Medicine in 2010, 16 years ago. Practices with Intercommunity Emergency Medical Group, a 60-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-9770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A123933 (CA)

Record details

NPI number1952622540
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2010
Last updated in NPPESNovember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Intercommunity Emergency Medical Group — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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